510(k) Report

510(k) · Cleared

Cleared

Impact, Universal Single-Limb, Ventilator Circuit, Model 820-0099-00

K022062510(k) AbbreviatedCleared May 6, 2003315-day reviewClass II21 CFR 868.5895

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Impact Instrumentation, Inc. · MOD Accessory To Continuous Ventilator (Respirator)

Cleared on May 6, 2003 as substantially equivalent to K801875 (Airlife, Inc., 1980) after a 315-day review. Its family tree reaches back 1 generation to 1980.

Decided
May 6, 2003
Review
315 days
Class
Class II
Product code
MOD
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K801875 (1980). No later device cites it as a predicate yet.

K801875 · Circuits, Breathing W/Connectors, Adapt · Airlife, Inc. · 1980198019851990199520002005
  1. Root · 1 generation backK801875 Circuits, Breathing W/Connectors, AdaptAirlife, Inc. · 1980
  2. This deviceK022062 Impact, Universal Single-Limb, Ventilator Circuit, Model 820-0099-00Impact Instrumentation, Inc. · 2003
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K801875Circuits, Breathing W/Connectors, AdaptAirlife, Inc.1980—
0 (this device)K022062Impact, Universal Single-Limb, Ventilator Circuit, Model 820-0099-00Impact Instrumentation, Inc.2003—
FIG. 1 — Lineage of K022062, 1980–2003Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in MOD? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new MOD device

  1. #1 K261360 EasyCare Tx 2score 14.6 · 10 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K801875Circuits, Breathing W/Connectors, Adapt
Summary page 1
…MOD Classification; Class II Predicate Device: Allegiance Healihcare Corporation, Catalog Numbcr 1755 (K801875), AirlifeTMUniversal Portablo Volume Ventilator Circuit (Dual Limb).…
Airlife, Inc.1980—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.

How does its category compare?

All MOD devices

MOD Accessory To Continuous Ventilator (Respirator): FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MOD

3so far in 2026, the most since 2007

2009: 12017: 12025: 12026 (partial year): 3
2007high 3 (2026) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MOD

125in 2026

2026 (partial year): 125 days median
2007high 125 (2026)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MOD

1so far in 2026, the most since 2007

2026 (partial year): 1
2007high 1 (2026) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · MOD

1in 2022

2008: 22015: 32016: 12017: 12019: 62020: 22022: 1
2007high 6 (2019) · low 0 (2007)2025

MAUDE reports naming product code MOD, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—02
20091—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—03
20160—01
20171—01
20180—00
20190—06
20200—02
20210—00
20220—01
20230—00
20240—00
20251—00
202631251—

What is it indicated for?

Impact Universal Single-Limb Ventilator Circuit is intended for use in conjunction with ventilators having a single-limb circuit interface. The ventilator circuits are used as a means by which to transfer breathing gases from a ventilator to a patient (inhalation) and from a patient to atmosphere (exhalation). The device is intended for use with adults and medium to large pediatric patients.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K022062: Impact, Universal Single-Limb, Ventilator Circuit, Model 820-0099-00.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K022062

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026